TOMMY LEE DAVIS

ROSEBURG, OR
NPI1487345443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: OR  250110)
Enumeration Date2023-05-18
Last Update Date2023-05-18
Business Address
TOMMY LEE DAVIS
2125 NW STEWART PKWY
ROSEBURG, OR 97471-1693
Phone number: 541-957-8552
Mailing Address
TOMMY LEE DAVIS
2125 NW STEWART PKWY
ROSEBURG, OR 97471-1693
Phone number: 541-957-8552
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